Document Type : Original Research Article

Authors

1 Department of Basic Sciences, College of Dentistry, University of Basrah, Iraq

2 College of Medicine, University of Al-Ameed, Karbala, Iraq

3 Department of Chemical Engineering, Faculty of Engineering, Universiti Kebangsaan Malaysia, Malaysia

10.48309/jmpcr.2024.448523.1144

Abstract

Periodontal disease is an inflammatory disorder affecting the oral cavity, caused by Streptococcus mutans. Diagnostic tests for periodontal disease involve analysis of biomarkers in saliva, such as lactate dehydrogenase (LDH), alkaline phosphatase (ALP), and arginase (AR) levels. This study aimed to assess salivary enzyme levels and isolate S. mutans, in smoking and non-smoking patients with periodontal disease. A sample between 18 and 60 years old who suffering from Periodontitis due to bacterial infection was involved and divided into three groups: Group A consisted of 25 smokers with periodontitis, Group B included 25 non-smokers with periodontitis, and Group C (control) comprised 25 healthy non-smokers without periodontitis. Saliva samples were collected from each participant and analysed using auto-analyser to measure enzyme levels. S. mutans was identified using biochemical, and polymerase reaction (PCR). Salivary enzyme levels were found higher in Groups A and B compared to the control Group C. LDH levels were 323.21 ± 22.31 UI/L (Group A), 138.02 ± 13.22 UI/L (Group B), and 104.21 ± 12.33 UI/L (Group C). ALP levels were 67.77 ± 5.34 UI/L (Group A), 53.36 ± 4.24 UI/L (Group B), and 21.88 ± 1.79 UI/L (Group C). AR levels were 21.58 ± 1.21 UI/L (Group A), 17.89 ± 1.35 UI/L (Group B), and 15.31 ± 1.45 UI/L (Group C). Approximately 80% of bacterial isolates were cultured on MSB from smokers with periodontal and approximately 60% from non-smokers with periodontal disease identified.  S. mutans was in 90% of smokers with periodontal disease and 80% non-smokers with periodontal disease.

Graphical Abstract

Analysis of salivary levels of lactate dehydrogenase, alkaline phosphatase and arginase as well as detection of streptococcus mutans in smoking and non-smoking periodontitis patients

Keywords

Main Subjects

[1] S. Fatima, A. Rehman, K. Shah, M. Kamran, S. Mashal, S. Rustam, M. Sabir, A. Nayab, M. Muzammal, Composition and function of saliva: A review, World J. Pharm. Pharm. Sci2020, 9, 1552-1567. [Crossref], [Google Scholar], [Publisher]‎
[2] N.S. Abdul, S.M. AlGhannam, A.A. Almughaiseeb, F.A. Bindawoad, S.M. Alduraibi, M. Shenoy, A review on salivary constituents and their role in diagnostics, Bioinformation, 2022, 18, 1021–1028. [Crossref], [Google Scholar], [Publisher]‎
[3] D. Plančak, L. Musić, I. Puhar, Quorum sensing of periodontal pathogens,  Acta Stomatologica Croatica2015, 49, 234. [Crossref], [Google Scholar], [Publisher]‎
[4] L. Sedghi, V. DiMassa, A. Harrington, S.V. Lynch, Y.L. Kapila, The oral microbiome: Role of key organisms and complex networks in oral health and disease, Periodontology, 2021,    2000, 107-131. [Crossref], [Google Scholar], [Publisher]‎
[5] K. Rao, S.G. Babu, U.A. Shetty, R.L. Castelino, S.R. Shetty, Serum and salivary lactate dehydrogenase levels as biomarkers of tissue damage among cigarette smokers, A biochemical study,  Stomatologija2017, 19, 91-96. [Google Scholar], [Publisher]‎
[6] V.P. Richards, S.R. Palmer, P.D. Pavinski Bitar, X. Qin, G.M. Weinstock, S.K. Highlander, C.D. Town, R.A. Burne, M.J. Stanhope, Phylogenomics and the dynamic genome evolution of the genus Streptococcus,  Genome Biology and Evolution2014, 6, 741-753. [Crossref], [Google Scholar], [Publisher]‎
[7] C.M. Bedoya-Correa, R.J.R. Rodríguez, M.T. Parada-Sanchez, Genomic and phenotypic diversity of Streptococcus mutans,  Journal of Oral Biosciences2019, 61, 22-31. [Crossref], [Google Scholar], [Publisher]‎
[8] M.D. Ferrer, S. Pérez, A.L. Lopez, J.L. Sanz, M. Melo, C. Llena, A. Mira, Evaluation of clinical, biochemical and microbiological markers related to dental caries,  International Journal of Environmental Research and Public Health2021, 18, 6049. [Crossref], [Google Scholar], [Publisher]‎
[9] C.K. Naresh, S.M. Rao, P.R. Shetty, V. Ranganath, A.S. Patil, A.J. Anu, Salivary antioxidant enzymes and lipid peroxidation product malondialdehyde and sialic acid levels among smokers and non-smokers with chronic periodontitis—A clinico-biochemical study,  Journal of Family Medicine and Primary Care2019, 8, 2960-2964 [Crossref], [Google Scholar], [Publisher]‎
[10] A.K. Pandarathodiyil, A. Ramanathan, R. Garg, J.G. Doss, F.B. Abd Rahman, W.M.N. Ghani, S. Warnakulasuriya, Lactate dehydrogenase levels in the saliva of cigarette and E-cigarette smokers (vapers): a comparative analysis, Asian Pacific Journal of Cancer Prevention: APJCP2021, 22, 3227. [Crossref], [Google Scholar], [Publisher]‎
[11] K.H. Fathima, V.S. Harish, Evaluation of alkaline phosphatase in gingival crevicular fluid among chronic periodontitis patients with smoking habit,  Journal of Advanced Medical and Dental Sciences Research2019, 7, 163-167. [Crossref], [Google Scholar], [Publisher]‎
[12] A. Jain, D. Jain, S. Jain, S. Jaiswal, R.K. Goyal, Evaluation of salivary alkaline phosphatase levels in tobacco users to determine its role as a biomarker in oral potentially malignant disorders, International Journal of Health Sciences, (II), 2022,  12443-12449. [Crossref], [Google Scholar], [Publisher]‎
[13] T.R.  Menaka, G. Vasupradha, S.S. Ravikumar, K. Dhivya, J. Dinakaran, V. Saranya, Evaluation of salivary alkaline phosphatase levels in tobacco users to determine its role as a biomarker in oral potentially malignant disorders,  Journal of Oral and Maxillofacial Pathology2019, 23, 344-348. [Crossref], [Google Scholar], [Publisher]‎
[14] S. Hegde, C. Nunes, K. Harini, S. Babu, S. Kumari, V. Ajila, Estimation of salivary arginase levels in smokers and nonsmokers with chronic periodontitis: A biochemical study, Dent Oral Craniofac Res2015, 1, 15-8. [Crossref], [Google Scholar], [Publisher]‎
[15] M. Sivaramakrishnan, B. Sivapathasundharam, M. Jananni, Evaluation of lactate dehydrogenase enzyme activity in saliva and serum of oral submucous fibrosis patients, Journal of Oral Pathology & Medicine2015, 44, 449-452. [Crossref], [Google Scholar], [Publisher]‎
[16] S.A. Ali, R.L. Telgi, A. Tirth, I.Q. Tantry, A. Aleem, Lactate Dehydrogenase and β-glucuronidase as salivary biochemical markers of periodontitis among smokers and non-smokers,  Sultan Qaboos University Medical Journal2018, 18, 318. [Crossref], [Google Scholar], [Publisher]‎
[17] M. Urbanowicz, K. Sadowska, A. Paziewska-Nowak, A. Sołdatowska, D.G. Pijanowska, Biosensor based on coupled enzyme reactions for determination of arginase activity,  Bioelectrochemistry2022, 146, 108137. [Crossref], [Google Scholar], [Publisher]‎
[18] M.S. Hossain, S. Alam, Y.M. Nibir, T.A. Tusty, S.M. Bulbul, M. Islam, M.S. Hossain, Genotypic and phenotypic characterization of Streptococcus mutans strains isolated from patients with dental caries,  Iranian Journal of Microbiology2021, 13, 449. [Crossref], [Google Scholar], [Publisher]‎
[19] T.  Miyoshi, T. Iwatsuki, T. Naganuma, Phylogenetic characterization of 16S rRNA gene clones from deep-groundwater microorganisms that pass through 0.2-micrometer-pore-size filters, Applied and Environmental Microbiology2005, 71, 1084-1088. [Crossref], [Google Scholar], [Publisher]‎
[20] S.R. Al-Farhan, A.A. AL-Abdullah, A.A. Al-Moussawi, Isolation and diagnosis of anaerobic bacteria of periodontitis by molecular methods in diabetic and non-diabetic patients in Basra Province/Iraq, Scientific Journal of Medical Research, 2019, 3, 53-63. [Google Scholar], [Publisher]‎
[21] P.M. Duarte, C.F.P. Nogueira, S.M. Silva, C.M. Pannuti, K.C. Schey, T.S. Miranda, Impact of smoking cessation on periodontal tissues,  International Dental Journal202272, 31-36. [Crossref], [Google Scholar], [Publisher]‎
[22] B. Kanmaz, G. Lamont, G. Danacı, H. Gogeneni, N. Buduneli, D.A. Scott, Microbiological and biochemical findings in relation to clinical periodontal status in active smokers, non-smokers and passive smokers, Tobacco Induced Diseases2019, 17, 1-6. [Crossref], [Google Scholar], [Publisher]‎
[23] R.M.R.D. Patel, S. VaRMa, G.R.S. SuRaGiMath, S.M.R. ZoPe, Estimation and comparison of salivary calcium, phosphorous, alkaline phosphatase and pH levels in periodontal health and disease: A cross-sectional biochemical study, Journal of Clinical and Diagnostic Research, 2016, 10, ZC58-61. [Crossref], [Google Scholar], [Publisher]‎
[24] B. Kumar, N. Kashyap, A. Avinash, R. Chevvuri, M.K. Sagar, K. Shrikant, The composition, function and role of saliva in maintaining oral health: A review, Proteins2017, 220, 140-640. [Crossref], [Google Scholar], [Publisher]‎
[25] K. Abdel Kader, S. Elhabbak, M. Assadawy, Evaluation of some salivary enzymes as a diagnostic biomarker for progression of periodontal disease,  Al-Azhar Journal of Dental Science2021, 24, 175-186. [Crossref], [Google Scholar], [Publisher]‎
[26] A. De, R. Puttannavar, F. Rahman, A. Adak, R. Sahoo, B.R. Prakash, Estimation of salivary and serum alkaline phosphatase level as a diagnostic marker in type-2 diabetes mellitus with periodontal health and disease: a clinico-biochemical study,  Journal of Oral and Maxillofacial Pathology2018, 22, 445. [Crossref], [Google Scholar], [Publisher]‎
[27] N. Risteska, B. Poposki, K. Ivanovski, K. Dirjanska, S. Ristoska, M. Saveski, Diagnostic and prognostic markers of periodontal disease,  prilozi2021, 42, 89-95. [Crossref], [Google Scholar], [Publisher]‎
[28] P.G. Stathopoulou, N. Buduneli, D.F. Kinane, Systemic biomarkers for periodontitis, Current Oral Health Reports2015, 2, 218-226. [Google Scholar], [Publisher]‎
[29] S. Podzimek, L. Vondrackova, J. Duskova, T. Janatova, Z. Broukal, Salivary markers for periodontal and general diseases, Disease Markers2016, 2016. [Crossref], [Google Scholar], [Publisher]‎
[30] L.K. Bakkir, The antibacterial activity of green coffee and Arabica coffee extracts on cariogenic Streptococcus mutans isolated from dental caries: An in vitro study, University of Thi-Qar Journal of Science2017, 6, 70-74. [Google Scholar], [Publisher]‎
[31] J.A. Lemos, S.R. Palmer, L. Zeng, Z.T. Wen, J.K. Kajfasz, I.A. Freires, J. Abranches, L.J. Brady, The biology of Streptococcus mutans, Microbiology Sectrum2019, 7, 1110-1128. [Crossref], [Google Scholar], [Publisher]‎
[32] Z. Saeed, B. Abbas, R. Othman, The effect of Lactobacillus plantarum on expression of biofilm genes of  Streptococcus mutans isolated from dental caries,  The Medical Journal of Basrah University2019, 37, 91-99. [Google Scholar], [Publisher]‎
[33] R.J. Lamont, H. Koo, G. Hajishengallis, The oral microbiota: dynamic communities and host interactions,  Nature Reviews Microbiology2018, 16, 745-759. [Google Scholar], [Publisher]‎
[34] M.A. Chayan, R.J. Sekhi, A.A.N. Amiry, Molecular diagnosis of S. Mutans isolated from dental caries in Thi-Qar Province,  Annals of the Romanian Society for Cell Biology, 2021, 2927-2931. [Google Scholar], [Publisher]‎
[35] H.S. Abd Al-Zahra, M.B. Saleh, Isolation and identification of Streptococcus mutans from dental caries patients at Thi-Qar province/Iraq,  Univ Thi-Qar J Sci2018, 6, 22-7. [Google Scholar], [Publisher]‎